Organization · Type 2 NPI
Mountain Telerad, PLLC
Radiologic Technologist · Caldwell, ID
NPI number
1821280371
Active
Practice location
4519 Enterprise Way
Caldwell, ID 83605
Fax (208) 455-7538
Mailing address
141 Victor Gust Dr
Mountain Home, ID 83647-1654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | None listed |
Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
3 other providers at this address
About NPI 1821280371
Mountain Telerad, PLLC's National Provider Identifier is 1821280371, issued on Aug 17, 2007. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Caldwell, ID. The record was last updated on Aug 17, 2007.